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Low population density in rural developing countries coupled with deficient infrastructure, weak state capacity and limited budgets makes increasing health care coverage difficult. Contracting-out mobile medical teams may be a helpful solution in this context. This article examines the impact of a large-scale programme of this type in Guatemala. We document large impacts on immunisation rates for children and prenatal care provider choices. The programme increased substantially the role of physician and nurses at the expense of traditional midwives. The results indicate that mobile medical teams substantially increased coverage of health care services in Guatemala, and could be effective in other developing countries. 相似文献
834.
Tom Spencer 《Journal of Public Affairs (14723891)》2001,1(2):187-188
As part of the ECPA's regular contribution to the Journal, Tom Spencer reviews the new fashionability of governance and examines its confused interface with civil society. He invites participation in the ECPA civil society project, reviews some recent relevant literature and appeals for a coherent current bibliography in this politically urgent field. Copyright © 2001 Henry Stewart Publications 相似文献
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Daniёlle Van der Giessen Susan J. T. Branje Tom Frijns Wim H. J. Meeus 《Journal of youth and adolescence》2013,42(1):96-108
Dyadic variability is considered to be a key mechanism in the development of mother-adolescent relationships, and low levels of dyadic flexibility are thought to be associated with behavior and relationship problems. The present observational study examined heterogeneity in the development of dyadic variability in mother-adolescent interactions and associations with psychosocial functioning. Dyadic variability refers to the range of emotional states during interactions of mother-adolescent dyads. During five annual home visits, 92 mother-adolescent dyads (M age T1 = 13; 65.2 % boys) were videotaped while discussing a conflict, and they completed several questionnaires on adolescents’ aggressive behavior and adolescents’ and mothers’ perceived relationship quality. Two types of dyads were distinguished: low variability dyads (52 %) and high decreasing variability dyads (48 %). Over time, high decreasing variability dyads were characterized by a broader emotional repertoire than low variability dyads. Moreover, these two dyad types had distinct developmental patterns of psychosocial adjustment. Over time, high decreasing variability dyads showed lower levels of adolescents’ aggressive behavior, and higher levels of perceived relationship quality than low variability dyads. These findings suggest that over time more dyadic variability is associated with less adjustment problems and a more constructive development of the mother-adolescent relationship. Adaptive interactions seem to be characterized by a wider range of emotional states and mothers should guide adolescents during interactions to express both positive and negative affect. Observing the dyadic variability during mother-adolescent interactions can help clinicians to distinguish adaptive from maladaptive mother-adolescent dyads. 相似文献
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Michael Evans Author Vitae 《Orbis》2011,55(1):85-113
The pattern of Asian geopolitics can be examined by employing three analytical perspectives. The first employs East Asia and the vigorous debate over the meaning of the rise of China as an intellectual prism to observe the currents of geopolitical continuity and change that are currently abroad in the Asian region. The second explores the extent to which the interacting forces of geopolitics and military modernization foster the rise of new force projection capabilities that may affect the strategic environment in Asia—particularly in East Asia. Here, the focus is mainly on the arsenals of the three indigenous Asian giants, China, Japan and India, all of whom have developed, or are in the process of developing, significant air and maritime assets whose operations have the potential to intersect in East and South East Asia. Russia is not as much a presence because it no longer possesses its powerful Soviet-era Pacific Fleet and has, in essential respects, retreated to its traditional role as a Eurasian land power.1 The third examines the future of Sino-American relations in Asia in the context of the debate over China's ascent and U. S. decline—a discussion that has intensified since the implosion of the U.S. financial system in 2008 and the onset of the worst global recession since the 1930s. 相似文献
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Kuotsai Tom Liou 《国际公共行政管理杂志》2013,36(10):1719-1747
This study examines Taiwan's economic development experience and identifies major achievements and challenges. The study first provides an overview of the past development record by analyzing several key economic indicators. It then explores major factors contributing to economic development, including general social background and supporting economic conditions as well as government development policy and activities. The paper especially focuses on changes and challenges resulting from the implementation of internationalization and liberalization of economic policy and the introduction of political democratization since the 1980s. The paper concludes with the implications of Taiwan's achievements and challenges. 相似文献